Individual
MS. PEGGY SCALES PACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
55 HIDDEN POND RD, HARPSWELL, ME 04079-4252
(207) 721-9117
Mailing address
55 HIDDEN POND RD, HARPSWELL, ME 04079-4252
(207) 721-9117
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT523
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030977
ANTHEM
ME
Enumeration date
03/30/2007
Last updated
10/18/2012
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